Mental health among otolaryngology resident and attending physicians during the COVID-19 pandemic: National study

Head Neck. 2020 Jul;42(7):1597-1609. doi: 10.1002/hed.26292. Epub 2020 Jun 4.

Abstract

Background: Otolaryngologists are among the highest risk for COVID-19 exposure.

Methods: This is a cross-sectional, survey-based, national study evaluating academic otolaryngologists. Burnout, anxiety, distress, and depression were assessed by the single-item Mini-Z Burnout Assessment, 7-item Generalized Anxiety Disorder Scale, 15-item Impact of Event Scale, and 2-item Patient Health Questionnaire, respectively.

Results: A total of 349 physicians completed the survey. Of them, 165 (47.3%) were residents and 212 (60.7%) were males. Anxiety, distress, burnout, and depression were reported in 167 (47.9%), 210 (60.2%), 76 (21.8%), and 37 (10.6%) physicians, respectively. Attendings had decreased burnout relative to residents (odds ratio [OR] 0.28, confidence interval [CI] [0.11-0.68]; P = .005). Females had increased burnout (OR 1.93, CI [1.12.-3.32]; P = .018), anxiety (OR 2.53, CI [1.59-4.02]; P < .005), and distress (OR 2.68, CI [1.64-4.37]; P < .005). Physicians in states with greater than 20 000 positive cases had increased distress (OR 2.01, CI [1.22-3.31]; P = .006).

Conclusion: During the COVID-19 pandemic, the prevalence of burnout, anxiety, and distress is high among academic otolaryngologists.

Keywords: COVID-19; mental health; mental wellness; otolaryngologists; psychiatric distress.

MeSH terms

  • Adult
  • Anxiety / epidemiology
  • Betacoronavirus
  • Burnout, Professional / epidemiology
  • COVID-19
  • Coronavirus Infections / epidemiology*
  • Cross-Sectional Studies
  • Depression / epidemiology
  • Female
  • Humans
  • Internship and Residency*
  • Male
  • Medical Staff, Hospital / psychology*
  • Medical Staff, Hospital / statistics & numerical data
  • Otolaryngologists / psychology*
  • Otolaryngologists / statistics & numerical data
  • Pandemics
  • Pneumonia, Viral / epidemiology*
  • SARS-CoV-2
  • Sex Factors
  • Stress, Psychological / epidemiology
  • Surveys and Questionnaires
  • United States / epidemiology